Essential Hypertension and Healthy Controls
Conditions
Keywords
urinary aquaporin-2, ENaC, fractional sodium excretion, High/low sodium diet
Brief summary
The aim of the study is to test the following hypotheses: * that the function and/or regulation of AQP2 and/or ENaC in the principal cells is abnormal in essential hypertension. * if an abnormal function of the principal cells is present in essential hypertension, this will become more pronounced at high and low sodium intake.
Interventions
250-350 mmol
25-35 mmol
Sponsors
Study design
Eligibility
Inclusion criteria
* Caucasian men and women * Age 18-65 years * Arterial hypertension * Body mass index between 18.5 and 30 kg/m2
Exclusion criteria
* Secondary hypertension * Isolated systolic hypertension * History or clinical signs of AMI, atrial fibrillation, disease of the heart valves, or chronic heart failure. * Malignant disease * Prior apoplexy * alcohol or drug abuse * Drug use except antihypertensives and oral contraceptives * Abnormal biochemical screening of the blood regarding: red and white blood count, s-creatinine (\> 200 micromol/L), b-hemoglobin, p-Sodium, p- potassium, p-albumine, p-bilirubin, p-alanine aminotransferase, p-alkaline phosphatase, p-cholesterol and b-glucose. * Abnormal screening of the urine regarding: Blood, albumine and glucose. * abnormal electrocardiogram * Blood donation within one month of the first examination day * Unwillingness to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| u-AQP-2 | Before and after hypertonic saline infusion after 4 days on high and low sodium diet, respectively. |
| fractional sodium excretion | Before and after hypertonic saline infusion after 4 days on high and low sodium diet, respectively. |
| p-vasopressin | Before and after hypertonic saline infusion after 4 days on high and low sodium diet, respectively. |
| p-aldosterone | Before and after hypertonic saline infusion after 4 days on high and low sodium diet, respectively. |
Secondary
| Measure | Time frame |
|---|---|
| uPGE2 | Before and after hypertonic saline infusion after 4 days on high and low sodium diet, respectively. |
| u-p-AQP-2 | Before and after hypertonic saline infusion after 4 days on high and low sodium diet, respectively. |
| GFR | Before and after hypertonic saline infusion after 4 days on high and low sodium diet, respectively. |
| u-ENaC(alfa,beta,gamma) | Before and after hypertonic saline infusion after 4 days on high and low sodium diet, respectively. |
| CH2O | Before and after hypertonic saline infusion after 4 days on high and low sodium diet, respectively. |
| u-cAMP | Before and after hypertonic saline infusion after 4 days on high and low sodium diet, respectively. |
Countries
Denmark